Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.66 / $988.00 / $7,920.26	Facility		$230.66	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $165.74 / $496.95	Professional		$107.48	$165.74	$496.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $279.38 / $467.78	Professional		$163.61	$279.38	$467.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.08 / $296.52 / $431.57	Professional		$237.08	$296.52	$431.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.50 / $240.69 / $391.84	Facility		$155.50	$240.69	$391.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $283.62 / $413.41	Professional		$195.46	$283.62	$413.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.58 / $304.58 / $359.12	Facility		$196.58	$304.58	$359.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.50 / $240.69 / $453.08	Facility		$155.50	$240.69	$453.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.85 / $312.23 / $459.90	Professional		$218.85	$312.23	$459.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,722.06 / $2,201.77 / $2,738.85	Facility		$1,722.06	$2,201.77	$2,738.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.21 / $324.74 / $485.37	Professional		$218.21	$324.74	$485.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.72 / $338.93 / $527.34	Professional		$234.72	$338.93	$527.34